I also made a video that explains what we need from a design:http://budurl.com/t8lf. Many of the websites I mention have no use for this design, but you will understand what I need from a "polished website".

Basic requirements to go along with my wireframe:

1. header should have logo, 3 or 4 pages for name, and a phone that can be easily seen in the header saying something like "Call Us Now: 714-555-1212"

2. the form on the side should have a title "schedule your appointment", a field for name, email, phone and a submit button. lastly there will be a privacy statement "We respect your privacy and would never spam you." with a link from privacy to our privacy page.

3. the header shouldn't take up too much space so that most of the imagery will be above the fold.